STUDY DESIGN: A case report and review of previous literature are presented. OBJECTIVE: The objective of this manuscript was to report a case of cervical myelopathy caused by invaginated anomalous laminae of the axis in a spina bifida occulta patient with hypoplasia of the arch of the atlas and to ...

STUDY DESIGN: Case report and literature review. OBJECTIVE: To discuss the diagnosis, limitations, and treatment of combined occipital-cervical and atlantoaxial disassociation with normal neurologic function. SUMMARY OF BACKGROUND DATA: Injuries to the craniocervical junction can lead to devastating neurologic deficits. Occipital-cervical disassociation is a well-documented injury pattern that can lead ...

AIM: The aim of this study was to describe the imaging features of multilevel brucellar spondylitis and discuss the diagnostic challenges CASE: The authors report describes one case of noncontiguous synchronous multifocal involvement of thoracic and lumbar spine. RESULTS: Brucellosis is a zoonosis of worldwide distribution, relatively frequent in Mediterranean ...

OBJECTIVE: The indications and operative technique for a number of posterolateral approaches to the craniovertebral junction (CVJ) are reviewed. METHODS: The literature addressing posterolateral approaches to the CVJ is reviewed, and illustrative cases are presented. RESULTS: The far lateral approach and its variants, including the transcondylar, supracondylar, and paracondylar approaches, ...

STUDY DESIGN: Case report and review of the literature. OBJECTIVE: To report a patient presenting with Brown-Sequard syndrome due to cervical intradural disc herniation after spinal manipulation therapy. SUMMARY OF BACKGROUND DATA: Spinal manipulation therapy (SMT) is often used by people with neck pain or discomfort as an alternative therapy ...

An understanding of the regional anatomy and specific biomechanics of the craniovertebral junction is relevant to the specific diseases that affect the region as well as instrumentation of the occiput, atlas, and axis. This article reviews the bony, ligamentous, and vascular anatomy of the region, in relation to the posterior ...

This article presents a case of Paget's disease of the cervical spine. To report a very rare case of Paget's disease of the cervical spine and review the literature. We report a case of Paget's disease of the cervical spine in a 51-year-old male presenting with neck pain post RTA. ...

STUDY DESIGN: Case report. OBJECTIVE: To report a case of cervical myelopathy due to simultaneous anomalies at the level of atlas involving hypoplasia of the posterior arch of the atlas, partial ossification of the transverse atlantal ligament, and hypertrophy of the dens. SUMMARY OF BACKGROUND DATA: Hypoplasia of the posterior ...

Francisella tularensis, the causative agent of tularemia, has been recognized as a human and zoonotic pathogen for almost 100 years. The increasing number of tularemia outbreaks in regions of Europe outside the classic endemic areas in recent years has prompted renewed interest in this rare infectious disease. We report on ...

STUDY DESIGN: A case report and review of the literature. OBJECTIVE: To describe an extremely rare case, development of lumbar disc herniation after percutaneous vertebroplasty complicated with intradiscal cement leakage. SUMMARY OF BACKGROUND DATA: Intradiscal cement leakages are frequently seen during vertebroplasty operations. They are generally asymptomatic. To the best ...

The majority of chordomas occur between the fifth and seventh decades of life and are thus extremely rare in children, which account for less than 5% of all spinal chordoma cases. We report on the development of this rare condition in two boys aged 7 and 10 years. One patient ...

Hepatobiliary cystadenomas are rare cystic neoplasms that often occur in middle age women, and spontaneous rupture is extremely rare. The exact etiology of these tumors is unknown. Diagnosis is often delayed, while misdiagnosis and inappropriate treatment may result in unfavorable outcome. We report a case of hepatobiliary serous cystadenoma with ...

OBJECTIVE: Ectopic cervical thymus is a rare anomaly, and 50 per cent of cases occur in children. The aim of this report was to remind clinicians of this rare condition, which is part of the differential diagnosis of a paediatric neck lump. METHOD: Case report together with literature review of ...

STUDY DESIGN: A case report of a young male suffering progressive neurologic dysfunction associated with a previously unreported combination of structural bony abnormalities. A review of the literature is also presented. OBJECTIVE: To describe a unique presentation of cervical myelopathy related to posterior deficiencies of the atlas and axis, and ...

Very infrequently, unusual microbial organisms are encountered in routine cervical Pap tests. We herein report two such cases in two asymptomatic women. Case 1. A Pap smear of a 16-year-old-female showed rare glandular cells with cytologic features consistent with Cytomegalovirus infection. Case 2. A Pap smear of a 36-year-old female ...

Unusually prolonged pressure on the scalp by the cervical os during or before the delivery may result in a distinctive pattern of annular alopecia that has been referred to as halo scalp ring. This rare form of hair loss is most commonly a temporary, non-scarring process that is attributed to ...

Hematoma of the cervical ligamentum flavum is very rare, and its pathogenesis is unknown. We describe a case of ligamentum flavum hematoma in the cervical spine causing severe myelopathy. Postoperative histological examination suggested it was the result of the rupture of a hemangioma or of an arteriovenous malformation in the ...

BACKGROUND CONTEXT: Survival data and rates of recurrence after en bloc resection for cervical spinal tumors are limited to single case reports and small case series, making the true risk of recurrence after this procedure unknown. PURPOSE: To report two cases of cervical chordoma managed via en bloc resection. To ...

Congenital absence of a cervical pedicle is a rare clinical finding with only 70 reported cases in the literature from 1946 until present. The congenitally absent pedicle has clinical importance owing to the frequency of misdiagnosis and inappropriate invasive treatments. We present the case of a 21-year-old college football player ...

Genital tract tuberculosis is usually secondary to an extragenital tubercular focus. Cervical tuberculosis, however, is rare accounting for up to 3% of all genital tract diseases. The diagnosis of tuberculosis is usually established on multiple cervical biopsies followed by bacteriological confirmation. There are only a handful of reports on the ...

STUDY OBJECTIVE: To document the ability to use a prostaglandin analogue to achieve satisfactory colposcopy in a patient with cervical stenosis and unsatisfactory colposcopy. DESIGN: Case report. RESULTS: Satisfactory colposcopy was achieved by using 100mg of Misoprostol orally, administered the night before the planned colposcopic evaluation. CONCLUSION: In the presence ...

STUDY DESIGN: Literature review. OBJECTIVE: To provide a comprehensive review of the available literature reporting clinical results of using pedicle-based posterior dynamic stabilization systems in the lumbar spine. METHODS: A literature search was performed using a number of key words including: posterior dynamic stabilization, facet replacement, pedicle fixation. RESULTS: There ...

Cervical ectopic thymus presenting as a neck mass is rare in a neonate. Just more than 100 cases have been reported in the literature with less than 10% occurring in infants. We report a case of solid cervical ectopic thymus in an asymptomatic 2-month-old boy. We review the literature and ...

We report the case of a patient presenting with abdominal pain as a result of a thoracic disc prolapse. The literature is reviewed, highlighting the associated morbidity by the often extensive and invasive procedures patients may undergo when a thoracic disc prolapse presents with abdominal pain.

The reproducibility of cervical histology diagnoses is critical for efficient screening and to evaluate the effectiveness of new technologies. The vast majority of cervical intraepithelial neoplasia (CIN) diagnoses reported in the New Technologies for Cervical Cancer study were blindly reviewed by 2 independent pathologists. Only H&E-stained slides were used for ...

For patients with metastatic disease to the spine there are numerous surgical approaches for decompression of neural elements and maintenance of mechanical stability. The challenge is to accomplish this while minimizing patient morbidity. Here we report on the feasibility and utility of a minimally invasive extreme lateral approach to the ...

INTRODUCTION: Intervertebral disk calcification is a rare childhood disease. The etiology of disk calcification in children remains unclear. CASE REPORTS: We report three cases of children with cervical disk calcification. Their clinical manifestations are very different. The first patient mainly had a neurological deficiency. The second had neck pain and ...

OBJECTIVE: We report two cases in which dysphagia and aspiration, caused by anterior cervical osteophytes, were so severe that surgical resection was performed. METHOD: Case reports and a review of the world literature concerning dysphagia caused by anterior cervical osteophytes, in regard to pathogenesis, diagnosis and treatment. RESULTS: Two patients, ...

STUDY DESIGN: Anecdotal case report. OBJECTIVE: To report a very interesting and perplexing complication of cervical total disc arthroplasty that has not been previously reported in literature. SUMMARY OF BACKGROUND DATA: Although there has been increasing interest in the field of artificial disc replacement to treat cervical degenerative disc disease, ...

In patients with metastatic disease to their spine and compromise of neurologic function, the challenge is to accomplish decompression of the neural elements and maintain mechanical stability but limit the risk and morbidity to the patient. In this case report the lateral extracavitary approach is employed to accomplish these tasks ...

INTRODUCTION: Cervical necrotizing fasciitis is a fatal and rapid multi- bacteria infection causing extensive necrosis of the subcutaneous tissues and fascial planes with resultant skin gangrene and associated systemic manifestation. The aim of the present study is to report four cases of cervical necrotizing fascitis highlighting their source. METHOD: The ...

INTRODUCTION: Several emerging clinical and neuroimaging conditions due to CSF intracranial hypotension have been documented. Recently, a few instances of a severe form of cervical myelopathy due to CSF overshunting have also been reported. Patients with this type of cervical myelopathy usually evolve with marked clinical manifestations of spinal cord ...

INTRODUCTION: Carcinosarcomas of the uterine cervix are very rare. Most of them have a homologous mesenchymal component, and cervical carcinosarcomas with a heterologous mesenchymal component are limited to nine cases. CASE REPORT: A 61-year-old Japanese woman was admitted to the hospital for treatment of a ureteral stone. Imaging studies detected ...

Here we present an unusual case of a male patient with 4th branchial pouch sinus with an initial presentation of pseudothyroiditis at an unusually late age of 20 years. Case report and a review of the world literature concerning 4th branchial pouch sinus is presented. The patient was diagnosed by ...

Nonunion of anterior tibial spine of tibia in children is quite rare, but it could be associated with significant instability of the knee as it involves the fixation of anterior cruciate ligament. We report one case in which open reduction and internal fixation was carried out with good functional results. ...

We report a rare case of an 8-year-old girl who presented with a giant cauliflower-like autofused pedunculated osteochondroma arising from spinous processes of the second to sixth cervical vertebrae. She was successfully treated by enbloc excision without any recurrence.

BACKGROUND CONTEXT: Cervical spine dislocations represent an area of great controversy among spine surgeons. PURPOSE: The purpose of this review is to present the specific areas of controversy and to provide a review of the literature. STUDY DESIGN: A case of cervical spine dislocation is presented to illustrate the major ...

BACKGROUND: Small cell neuroendocrine cervical carcinoma (SCNCC) is a rare tumor that comprises 1-3% of cervical tumors. SCNCC exhibits clinical and biological characteristics of both cervical neoplasm (such as local aggressiveness and involvement of papillomavirus) and neuroendocrine small cell cancer of any site (such as early dissemination of the disease ...

STUDY DESIGN: A case report of a 51-year-old man with acute myelopathy owing to T2/3 disc herniation that was treated with transvertebral herniotomy. OBJECTIVES: To report surgical advantages of the transvertebral approach in the upper thoracic spine. SUMMARY OF BACKGROUND DATA: Various surgical approaches to the upper thoracic spine have ...

STUDY DESIGN: A case report and review of the literature. OBJECTIVE: To report a rare case of bacteremia coexisting with spinal gout initially suspected as pyogenic spondylodiscitis. SUMMARY OF BACKGROUND DATA: Gouty spine is a rare disease. It is even rare when coexisting with bacteremia. The presentation as pain, fever, ...

Pyometra is an uncommon condition with an incidence of less than 1% in gynaecologic patients. Spontaneous rupture of pyometra in cervical cancer presenting as generalized peritonitis is very rare. Only four cases have been described in the English literature to the best of our knowledge and from a PubMed search. ...

Pregnancy in a rudimentary horn is a very rare condition. It is responsible for several complications. Prognosis is reserved because the natural evolution generally leads to a cataclysmic uterine rupture at the beginning of the second trimester. Classically, the treatment after foetal extraction consists of ablation of the rudimentary horn ...

We report ossiculum terminale persistens associated with atlantoaxial instability in a child less than 12 years of age. Static and dynamic X-rays, thin-cut computed tomography with sagittal and coronal reconstructions, and magnetic resonance imaging of the cervical spine showed atlantoaxial instability and an "orthotopic" ossiculum terminale persistens. This pathologic state ...

We present the first known case of a patient with cervical squamous cell carcinoma complicated by paraneoplastic syndromes of both dermatomyositis and inappropriate secretion of antidiuretic hormone (SIADH). The patient in this case presented with generalized body pain and vaginal bleeding. Her cervical cancer was diagnosed as stage IIB by ...

Calcification around the cervical spine is thought to be relatively rare case, among these conditions the calcification at the longus colli muscle is called retropharyngeal tendinitis and only several cases were reported in the literature. In this disease, the three characteristic clinical features are acute severe posterior neck pain without ...